Featured Articles

The content of this blog is designed and intended for the education of Healthcare Professionals

In our rapidly evolving industry, the use of hyaluronic acid (HA) fillers for facial enhancement is always on the rise. However, with innovation comes challenges. Fresh Clinics Members recently heard invaluable insights from Dr. Sabrina Shah-Desai, an internationally recognized expert in non-surgical and advanced cosmetic procedures on the prevention and management of complications associated with (HA) filler use.

Understanding the Anatomy

To optimally leverage fillers in aesthetics, an understanding of facial planes and the distribution of facial vasculature is a must. Enlightening us on this, Dr. Shah-Desai reinforced, "Prevention strategies are really important to understanding that depth of injection, injecting slowly, considering a cannula except in the nose, injecting small, and considering directing the needle perpendicular to the vessels."

Patient Assessment 

Sabrina made sure to emphasise the importance of patient assessment and consultation in the following order to minimise risks during treatment:

1. Take a detailed medical history
2. Take a detailed aesthetic history (types of filler used/dates of treatment)
3. Assess for any ongoing skin conditions, dental issues, and ear, nose, or throat issues
4. Establish if there is any severe pain or redness in past treatments
5. Establish duration and onset of “the lump”

One of the main risks associated with HA filler injections is the threat of vascular events. How we handle such events can make a significant difference in the patient's outcome. Complications ranging from infections to nodules and even blindness can occur, hence having a well-trained team in place, armed with the necessary tools and medications, is crucial.

"Anatomy and assessment of patient selection is a prerequisite for minimising the risk of complications. Never inject against resistance and considering the product is really important, particularly to prevent complications," said Dr. Shah-Desai, reinforcing the importance of comprehensive knowledge in filler treatments.

Navigating Complications

The importance of early detection, diagnosis, and management of adverse events cannot be overemphasised. For infections, the use of antibiotics might be considered while Hyaluronidase could be employed for treating nodules. Here, using ultrasound devices on patients would offer compelling advantages.

Aging and Filler Placement

Our skin undergoes transformations with age, leading to structural support and surface alterations. . Sabrina shed light on this, highlighting "When we look at the surface topographical changes of aging we see this on the skin sort of from the ages of late 20s to mid 30s."

The awareness of these changes, especially in the mid-face and bony areas, forms the underpinning for informed decisions on filler placement and selection in patients.

The 4D Approach 

Steering away from static notions, Sabrina introduced the concept of the 4D approach for optimising results with filler. This approach unravels a more holistic outlook in evaluating and enhancing facial features, acknowledging the dynamic fat pads and movements that define our faces.

The 4D approach is based on four key strategies and can have fewer complications, plus more revenue for your practice than filler alone:

1. Protection (eg, sunscreen and antioxidants)
2. Promotion of cell turnover (eg, peels and laser)\
3. Collagen stimulation
4. Volume remodelling (eg, fillers)

Empowering Your Practice

Sabrina's enlightening session contextualises the importance of preparedness at each step of aesthetic treatments.

The core takeaway from Dr. Shah-Desai resonates with Fresh Clinics’ belief that knowledge and awareness are the foundation of excellence in aesthetics. By embracing these insights, we can look forward to an exciting future in advanced technology.

Stay tuned for more inspiring discussions.

Not a Fresh Clinics member yet?  Reach out to our team today, call us, or schedule a time to chat below to discuss how to become a Fresh Clinics member and take advantage of Fresh initiatives today.

Can you imagine using your own cells to repair signs of aging or reverse chronic conditions? With regenerative medicine, this is slowly but surely becoming possible.

Regenerative medicine is an emerging field that helps the body replace, repair, and regenerate damaged cells, tissues, or organs. The goal is to help patients restore normal function. For example, in aesthetic medicine, the desired outcome is to restore the patient’s natural body, not simply hide the signs of aging.

In this article, we’ll break down what regenerative medicine is, the top treatments being used today, how it’s changing the aesthetics industry, and what’s coming next.

Key aspects of regenerative medicine

The practice of regenerative medicine draws on cell biology, genetics, bioengineering, and clinical medicine to promote true repair and, in some cases, reverse damage entirely. It’s built upon the concept that, in the right conditions, the body has all the tools it needs to heal itself from minor injuries.

Supporting the body to heal

Our bodies already know how to heal cuts, mend bones, and fight infection.  Regenerative medicine builds on that by stimulating or enhancing the body’s natural repair mechanisms. This can mean triggering collagen production, increasing blood flow, or signaling the body to produce new cells.

Cell-based therapies (stem cells)

Stem cells can turn into many different types of cells, such as bone, blood, muscles, and nerves. In regenerative medicine, they are used to repair damaged tissue. The most common source of stem cells in medical treatments today is taken from adult bone marrow or fat tissue. For example, doctors might inject stem cells from fat tissue into an injured joint to promote healing and reduce inflammation.

Building new tissue from scratch (tissue engineering)

Tissue engineering is the practice of using a structure, like a soft, mesh-like material, along with cells to help the body grow new tissue. 
It’s already being used to create skin grafts, cartilage, and parts of organs. This approach is especially helpful when the body can’t heal on its own, such as after a burn, injury, or surgery.

The tools that support cell growth and repair

As the field grows, the tools used by medical scientists are constantly evolving. Currently, regenerative therapies often involve biomaterials (materials that are safe for inside the body) that support cell growth, or gene therapy that helps restore or enhance a cell’s function at the DNA level.

Examples of regenerative medicine in use today

Healing with your own blood (platelet-rich plasma)

Platelet-rich plasma (PRP) therapy uses a patient's own blood to promote healing. After drawing blood, it's spun in a centrifuge to concentrate the platelets, which are then injected into the targeted area. PRP is commonly used for injury recovery, skin rejuvenation, and hair growth. ​

Relieving joint pain with natural cushioning (viscosupplementation)

This treatment involves injecting hyaluronic acid, a gel-like substance, naturally found in healthy joints. In people with osteoarthritis, their natural level of this substance drops, which can cause pain and stiffness. This treatment helps restore lubrication in the joint, usually the knee, making movement feel smoother and reducing discomfort.

Growing organs from your own cells

Researchers are working on growing entire organs in labs using a patient's own cells. This approach aims to provide future alternatives to organ transplants, reducing the risk of rejection. ​ While we're still years away from fully functional lab-grown organs, recent developments in 2024 from scientists at UC San Francisco and Cedars-Sinai have taken promising strides towards bringing this concept to life.

Waking up the body’s repair system

Some therapies aim to stimulate the body's own cells to repair themselves. By engaging these dormant or damaged cells, the treatments encourage natural regeneration, potentially reducing the need for invasive procedures.  A simple example of this is microneedling, which creates small tears in the skin to promote collagen production.

What is regenerative aesthetics?

Regenerative aesthetics is the future of the aesthetics industry, combining the science of healing with modern beauty treatments. It uses the principles of regenerative medicine, like stimulating collagen, restoring tissue, and boosting cellular activity for cosmetic treatments.  The goal is to deliver natural-looking results by encouraging the body to heal and renew itself. That means fewer artificial fillers, less downtime, and longer-lasting results.

Popular regenerative aesthetic treatments include:

• PRP for skin rejuvenation: Sometimes called a “vampire facial,” this uses the patient’s own plasma to boost collagen, improve texture, and reduce signs of aging.
• PRP for hair restoration: Injecting PRP into the scalp can stimulate dormant hair follicles, improving thickness and regrowth over time.
• Exosome therapy: Exosomes are naturally released in the body to promote healing. When extracted and applied to the skin, they can reduce inflammation, support cell turnover, and brighten complexions.
• Polynucleotide injections: Derived from salmon DNA, these injections are designed to hydrate, repair, and improve skin elasticity at a deep level. They're especially popular for under-eye rejuvenation and dull skin.
• Skin boosters: Unlike traditional fillers, skin boosters spread under the skin to hydrate and subtly plump. They also encourage collagen and elastin production over time, which is beneficial for patients looking to reduce the signs of aging.
• Nanofat grafting: This is when fat is gathered from the patient, filtered to isolate the regenerative cells, and then injected into delicate areas like under the eyes or around the mouth. It improves skin quality and volume with long-term effects.

Real-world results

A 2024 study on PRP for skin rejuvenation found that treatment led to significant improvements in facial features after just one to three sessions.
Another study in 2023 found that combining microneedling with exosomes led to faster healing and better results. The patients showed noticeable improvements in wrinkles, elasticity, hydration, and pigmentation.

What does the future hold for regenerative medicine?

The future of regenerative medicine is moving fast due to patient demand and major scientific progress. Researchers are already testing 3D-printed organs made from a person’s own cells, which could one day replace the need for the more risky practice of donor transplants. Gene editing tools like CRISPR are also showing real promise and could help fix the root cause of certain diseases.

It might sound futuristic, but these breakthroughs are already happening in labs and early trials. If things keep heading in the right direction, we’ll start seeing more of these treatments helping real patients in the next few years.

Regenerative medicine is all about helping the body naturally fix itself. From joint pain to skin and hair, these treatments are already making a difference, and they are only getting started.

At Fresh Clinics, we support medical professionals with the tools, knowledge, and oversight to offer safe, effective regenerative treatments

Ready to take the first step? Contact Fresh today!

FAQs

What therapies are currently provided in regenerative medicine?
Some of the most common regenerative medicine treatments include platelet-rich plasma (PRP), stem cell therapies, and microneedling with growth factors like Exosomes. These therapies are used to repair damaged cells, tissues, or organs, especially for joints, skin, and hair.
What kind of conditions can regenerative medicine help with?
Currently, regenerative medicine is being used for joint pain, soft tissue injuries, hair loss, and skin aging. As the field of regenerative medicine grows, it’s also being studied for organ repair and more complex medical conditions.
Is stem cell therapy safe?
Stem cell therapies are already being used in both medical and aesthetic clinics, especially for joint issues and skin rejuvenation. Most use stem cells from bone marrow or fat, and while research is still ongoing, they’re generally considered safe when done by qualified professionals.
How is regenerative medicine different from traditional treatments?
Unlike treatments that only manage symptoms, regenerative medicine focuses on fully healing. It supports the body’s ability to repair damaged tissue and restore normal function using cell therapy, growth factors, or tissue engineering.
What are iPS cells, and why do they matter?
Induced pluripotent stem (iPS) cells are adult cells reprogrammed to act like pluripotent stem cells. That means they can turn into nearly any cell type. Researchers see them as a safer, more ethical alternative to human embryonic stem cells in regenerative medicine research.
How is 3D bioprinting being used in regenerative medicine?
3D bioprinting is an emerging technology that uses living cells to print engineered tissue. The goal is to eventually build complex organ and tissue structures that are structurally and functionally similar to natural ones.
Can regenerative medicine help with heart failure?
Yes. One type of regenerative medicine being studied for heart failure involves growing or transplanting healthy muscle cells into damaged skeletal muscle to restore heart function. While it’s still in early development, it’s one of the most promising therapies and future directions in the field.

As the end of the financial year approaches, many cosmetic nurses, clinic owners, and aesthetic professionals are deep in spreadsheets, reconciling expenses, and preparing to close the books.

But EOFY isn’t just a deadline; it’s the perfect moment to pause, reflect, and invest in the future of your business.

Here’s why EOFY is the smartest time to secure your spot at The Fresh Life 2025:

EOFY is designed for strategic investment

June 30 is when many business owners look at their numbers and ask, “What did I build this year, and where am I heading next?”

EOFY serves as a natural checkpoint to review your business's financial health. Reinvesting in professional development now can set you up for a more profitable, confident, and focused second half of the year. Whether you’re a sole trader or running a growing clinic, EOFY is your chance to:

• Realign with your long-term goals
• Prioritise development
• Take advantage of potential tax deductions*
  

Invest in YOU and your clinic's holistic growth at The Fresh Life 2025

Investing in professional development, training, or business-related resources before EOFY can offer significant tax advantages. According to the Australian Taxation Office (ATO), expenses directly related to earning assessable income, such as attending conferences, workshops, or purchasing educational materials, may be tax-deductible. By making these investments before June 30, you can potentially reduce your taxable income for the current financial year.*

The Fresh Life 2025 is built for cosmetic professionals who want to do more than survive change - they want to thrive through it, and stay at the forefront of product, technology, and compliance standards. 

This year’s theme is all about building a business that’s not just growing - but flourishing. Attendees will gain practical strategies to:

• Scale without burning out
• Differentiate in an increasingly saturated market
• Retain patients through value-driven, localised care
• Leverage insights and tools for long-term, strategic success
• Learn new innovative techniques
• Build your team or hear insight into how to work inside a high-performing team
• Get up close and personal with industry experts, pharmaceutical brands, and key opinion leaders in our industry

Invest now, and reap the rewards all year

Making space for professional development during EOFY signals that you’re prioritising progress, putting strategy ahead of stress, and choosing to lead your business with intention.

A ticket to The Fresh Life 2025 is an investment in clarity, confidence, and community. And when you invest before June 30, you’re giving yourself the strongest possible start to the next financial year.

Grow together - grab your ticket before June 30 and immediately go in the running to win a free ticket!

This year, growth doesn’t have to be a solo journey. When you purchase your ticket before June 30, you’ll automatically enter our giveaway, where one lucky attendee will receive a second ticket for free.

This is your chance to bring along someone who makes your business stronger. Whether it’s a business partner, a team member, or a peer you’ve grown alongside in the industry, shared learning increases impact.

All ticket holders are entered automatically. But to be eligible, tickets must be purchased before EOFY. Winners will be announced on July 7, 2025!

Don't miss your chance to THRIVE. Secure your spot here!

*Always consult with a financial advisor or tax professional to understand the specific benefits and implications for your business.

Last weekend, the Fresh Clinics Team attended another NSS (Non-Surgical Symposium) on the Gold Coast - an annual highlight on the medical aesthetics calendar.

As always, it was a valuable opportunity to connect with peers, hear from leading voices in the industry, and reflect on the direction our profession is heading.

Here are some of the key insights and takeaways our team brought home from NSS 2025:

Ahpra & TGA regulatory guidelines

Significant updates were shared around compliance, particularly from AHPRA and TGA representatives. A few key takeaways:

• All clinical information and patient education should be delivered in person.
• Providing information via email or text (e.g., brands, pricing) remains a grey area.
• Messaging should aim to educate, not promote. If flagged, practitioners will typically have an opportunity to explain their intent and adjust.
• Booking systems should align more closely with general practice (e.g., "short" vs. "long" consults), reinforcing that we are operating in a healthcare model, not a retail one.

Diversity & inclusivity 

Several sessions explored how clinicians can strengthen greater inclusivity, particularly around gender identity and neurodivergence. A standout statistic shared was that 60% of nurses avoid certain patient questions out of fear of saying the wrong thing.

From adding non-binary options on intake forms to asking open-ended questions like “What’s your idea of beauty?” and “How do you view yourself?”, speakers highlighted the importance of creating safe, respectful spaces for all patients.

Marketing & community engagement 

Dr Kristy Kostalas and Fresh Trainer, Agnes Dube, shared practical ways clinics can embed community engagement into their business model. With marketing restrictions continuing to limit traditional promotion, many clinicians are finding value in being seen to give back, whether by sponsoring local sports teams, partnering with charities, or supporting local events.

As traditional marketing becomes more restricted, the consultation process has become the most powerful point of connection with patients. Speakers emphasised the importance of creating a calm, personalised, and informative experience, not just for treatment planning, but for building long-term trust.

Hybrid clinics

There was discussion around the emergence of hybrid clinics, where services such as skin cancer checks, general medicine, preventive medicine, and aesthetics sit under one roof. It’s a patient-centric model that speaks to the evolving expectations of health, wellness, and convenience.

NSS 2025 reinforced that the aesthetics industry is evolving quickly, and that success now hinges not just on clinical skill, but on the ability to navigate compliance, communicate with purpose, and connect with patients and communities in more meaningful ways.

It was incredibly rewarding to hear from many attendees, including nurses, clinic owners, and pharmaceutical partners, who shared their appreciation for the support Fresh Clinics is providing, particularly in Queensland. There was strong engagement with our data-led presentation on the State of Medical Aesthetics Report, and it was clear the insights resonated across the room.

We’re proud to be part of these important conversations and to continue supporting our network to stay informed, compliant, and empowered.

Ready to join Fresh?

Whether you're just starting out or looking to expand your clinic, Fresh Clinics is here to support your growth. Reach out to our team, call us, or fill in the form to get started.  

 The content of this blog is designed and intended for the education of Healthcare Professionals

The art of bringing a change to one’s appearance through non-surgical cosmetic procedures calls for expert precision and knowledge. However, even in the hands of the most skilled professional, complications can arise.

Fresh Members recently had the opportunity to dive into an educational session with our very own Dr John Holbrook, on managing vascular occlusions (VOs) in aesthetic treatments.

Vascular Occlusions: A Fear for Practitioners 

"The vessels in our bodies, particularly in our face, are all connected," Dr Holbrook emphasized during the session. Vascular occlusion, a rare but serious complication, can result from dermal filler treatments, with incidences being roughly 1 in 10,000. While low, the risk is real and can result in serious complications if not managed promptly and appropriately.

To minimise the occurrence of VOs, practitioners often adopt standard procedures. For example, the idea of only injecting in 'safe' points has always been conventional. However, it's not a course that Dr Holbrook advocates,"There's no safe...everywhere can be risky.”

The Treatment Approach

When an occlusion is suspected or occurs, the first course of treatment is to call in an expert immediately.

Another critical part of the immediate response is injecting hyaluronidase into the affected area, an enzyme that can potentially reverse the occlusion by breaking down the filler.

Dr Holbrook shared through his personal experience, how he managed a rare, yet serious VO that affected a patient's chin and tongue due to a midline filler injection in the chin.

"We fixed it in a day… and it didn't require any further interventions," Dr Holbrook recalled about one of the most complex cases he'd managed. Despite immediate action, the patient still experienced extreme pain, challenging the process of treatment. Utilizing hyaluronidase and maintaining an open line of communication with other specialists, the case was successfully navigated.

It is important to emphasize the need for persistence in managing occlusion. Dr Holbrook noted, "Just because it has always been okay before, doesn't mean it will be okay this time."

He reiterated that every treatment comes with its own level of uncertainty and risk.

The need to remain constantly cautious and prepared for any event is one that resonated deeply with our Members. In the face of such potential complications, the importance of patient well-being remains at the forefront.

The session was a wealth of information on managing vascular occlusions, and a testament to Dr Holbrook's persistent, dynamic, and patient-first approach.

Not a Fresh Member? 

Join us for more discussions that motivate and provide insights into navigating risks and complications in aesthetic procedures. 

When a patient walks into your med spa, they’re not only here for the treatments; they’re looking for the feeling of calm, trust, and elegance.

Thoughtful interior design sets the tone before a single needle is uncapped. Sure, a well-designed space looks amazing on socials, but it also builds real-world trust the moment clients walk in. It builds credibility, helps clients relax, and shows that you care about the experience as much as the results.

Whether you’re starting fresh or refining what you’ve already built, these nine design ideas are all about making your space feel calm, polished, and professional.

1. Make your entrance feel like a high-end boutique

First impressions start at the front desk.

Think soft curves, clean lines, and materials that feel expensive, like fluted timber, travertine, or reeded glass.

Your reception should also be a place for clients to relax before and after their treatments, like comfortable chairs, low lighting, herbal tea, and maybe a hint of fragrance in the air.

Tip: Add one showstopper. A sculptural vase, a designer lamp, or a signature scent. 

Image: Byron Bay Luxury Homes

2. Update your neutrals with earthy tones

Cream-on-cream has been done, but in 2025, neutrals are getting more depth and a little personality. If you want your space to feel calm but not bland, layer soft whites with richer tones like taupe, olive, clay, or stone.

These colors are inspired by nature, which naturally helps clients feel more grounded, safe, and relaxed. You can also try using light blues or soft, beach-like colours to add a sense of calm to the space.

While white or warm beige have their place, building on them with earth tones can strike the right balance between professionalism and warmth.

Image: Pinterest

3. Clean but not cold

Clinical doesn’t have to mean cold. In 2025, the most elevated med spas are embracing sculptural design elements, think curved counters, fluted walls, and rounded furnishings, to bring softness and warmth into their space. These forms feel modern and organic, helping you move away from that boxy “waiting room” look without sacrificing professionalism.

It’s a subtle way to soften the space and move away from that standard “waiting room” feel, without losing the clean, clinical edge you need. Tip: For a luxury finish that’s still hygienic, consider a polished natural stone like sealed marble, which is easy to clean and elevates the look instantly.

Image: Interior Design Awards

4. Use lighting to shape mood and perception

Renowned interior designer Jonathan Adler said it best when he said, “Lighting is everything. It can make a room feel warm, cozy, and inviting, or cold and unwelcoming.”

And in 2025, elevated med spas are treating it that way, moving beyond harsh, clinical light in favor of warm recessed strips, minimalist sconces, and soft pendants that set the mood without distraction.

In treatment rooms, you’ll need your lighting to still be functional, but ideally adjustable, so you're not overwhelming clients with brightness the moment they walk in.

Image: Jonathan Adler

5. Function first, beauty second

It’s easy to get swept up in aesthetics, but if your space doesn’t work day to day, it’s going to cause stress.

Start by mapping out how your team moves through the clinic. Can they get from the front desk to the treatment rooms quickly? Are supplies easy to grab without digging through drawers? Are the waste bins where they need to be? Reception desks should have hidden storage to make your staff happy, where they can store their forms, tech, or even snacks.

Treatment rooms need cleanable surfaces, a logical layout, and room for staff to move comfortably around the client.

Image: Interempresas

6. Doors that blend privacy and polish

Doors do more than separate rooms. A heavy, loud, or poorly finished door can make a space feel cold and clinical. The wrong material? It clashes with your palette and shows every fingerprint.

For a more elevated look, opt for flush doors with minimal hardware, or soft-close sliders that save space without compromising on style. Matte finishes, frosted glass, and sealed timber strike the right balance between beauty and practicality. Soundproofing is essential in treatment rooms, where clients may be discussing personal medical details or undergoing procedures that require discretion.

Tip: Keep your door finishes consistent throughout the clinic. It’s a small detail, but it helps the entire space feel calm, intentional, and beautifully considered.

Image: Divisare

7. Flooring that’s practical and built to last

Flooring is one of the hardest-working surfaces in your space. It needs to look beautiful, hold up under constant foot traffic, and meet hygiene requirements.

In clinical zones, go for sealed concrete, large-format tile, or natural stone. These materials are also easy to disinfect and hold their shape over time. In reception, a low-pile rug or mat adds contrast, just make sure it’s washable and won’t catch under chairs.

Tip: Avoid high-shine finishes or anything with too much texture as they’re harder to clean and show wear quickly.
Image: Eye Envie Lash & Co.

8. Make your retail feel helpful

Retail can feel like an afterthought in many med spas, or worse, a hard sell that ends up gathering dust.

However, when done right, it adds value and enhances the client experience.

Use backlit shelving that matches the rest of your design. Keep your displays minimal, products spaced out, and signage clear.  Patients will actually want to browse through your products if they are displayed nicely.

Tip: Position your products for sale near your counter or next to where clients sit and wait. Always keep overstock hidden to keep a clean, organized look.

Image: Arch Daily

9. Plan for technology, and conceal it well

Tech is part of every med spa, from check-in tablets, booking software, and EMR stations. '

Patients want your clinic to be using the latest tech, but it shouldn’t dominate the space.

Bulky monitors, visible cables, or mismatched devices can quickly ruin an otherwise polished look. Choose hardware that suits your aesthetic, and work with cabinetry that can tuck away cords, printers, and modems.

Tip: Consider wall-mounted tablets at reception or consultation areas, as they are sleek, functional, and space-saving.

Image: Place Ideal

Key considerations for standing out

A well-designed med spa stands out because it feels intentional, not overdone. Start by defining your brand and building around that. Ask yourself, will your med spa be sleek and clinical, or soft and nurturing? How you want to define your brand should guide every detail, from the color of your walls to the shape of your reception desk.

Create a layout that flows. Avoid cramming too many chairs into reception or having clients pass storage bins on the way to the treatment rooms. Use a mix of wall lights, ceiling spots, and hidden strips, and avoid anything too harsh or blue-toned in the reception and bathrooms. Clients should feel flattered by the lighting, not exposed by it.

Add discreet signage and staff uniforms that match your palette. It’s less about each individual touch, but more about how they all come together.

Your med spa doesn’t need to be the trendiest spot in town. It just needs to feel calm, polished, and comfortable. When your layout flows, your lighting works, and nothing feels out of place, clients notice.

If you’re thinking about starting a med spa, Fresh Clinics can help. We’ll match you with a medical director, support you with HIPAA-compliant tech, and help keep everything running smoothly from day one.

Ready to create a med spa that feels as good as it looks? Contact Fresh today!

Running a successful med spa, whether you're in Texas, Pennsylvania, or anywhere else, means balancing safety, compliance, and building a loyal patient base.

So before you perform an aesthetic treatment like Botox, fillers, or laser therapy, there’s one fundamental step that needs to happen to make sure it’s done safely and legally.

We’re talking, of course, about the Good Faith Exam (GFE). In this article, we’ll cover what it is, when it’s required, and why it matters for safe and compliant care.

Why good faith exams matter

Before any medical treatment, it’s standard practice to assess a patient’s health and make sure they understand the risks. That’s what a Good Faith Exam does. It protects patient safety and ensures they can give proper consent.

Here’s a closer look at the three key reasons GFEs are a legal requirement.

1. Risk reduction
A GFE helps you understand your patient’s health before treatment begins. It gives your team the chance to review their medical history, spot any red flags, and decide if they’re a safe candidate for the procedure. This step is key to reducing the risk of complications, especially if the patient has conditions or medications that could affect the outcome or cause them harm.

2. Consent
GFEs give patients the chance to ask questions, understand their options, and get clear on what results they can expect or side effects.
This process ensures they can give informed consent, meaning they fully understand the treatment and what it involves before agreeing to proceed.

3. Compliance
Med spas are legally required to conduct GFEs before performing medical treatments. Keeping clear documentation of each exam helps ensure compliance, protects your patients, and reduces legal risk for your business.

Who conducts a good faith exam?

A GFE must be performed by a qualified medical professional. This can be done directly by a physician, or by a nurse practitioner or physician assistant working under physician supervision. While the exact requirements vary by state, in Texas and Pennsylvania, supervision by a licensed physician is mandatory. These licensed healthcare providers are trained to spot red flags and recommend safe options based on your medical history and current health.

At Fresh Clinics, your GFEs are made simple and efficient, with medical oversight from the top aesthetic professionals in the USA. Learn more.

What happens during a GFE?

If you're opening a med spa or simply want to know what a proper Good Faith Exam should include ahead of your next appointment, here's an overview of the process.

1. Medical history review
Providers typically begin their GFEs by reviewing the patient’s medical history, including allergies, medications, past procedures, and any existing health conditions. This step is essential to identify any potential risks before treatment begins.

2. Physical or virtual exam
Depending on your state laws, the GFE may be done in person or via telehealth. In both Texas and Pennsylvania, either can be carried out.
During an in-person exam, the provider may check vital signs, assess skin condition, or physically examine the treatment area to make sure it's safe to proceed. In a virtual exam, the provider will visually inspect the patient over video, ask targeted health questions, and look for any visible concerns, such as skin issues, signs of infection, or anything that may affect the outcome of the treatment. The goal is to confirm the patient is in good health and a suitable candidate for the procedure.

3. Personalized treatment planning
Based on the results of the GFE, you’ll receive treatment recommendations that are tailored to your specific circumstances. This step helps to ensure that your customized treatment plan will be safe and effective.

In-person vs virtual GFEs

Depending on your state, Good Faith Exams can be done either in person or through telehealth. In places like Texas and Pennsylvania, both are permitted, but the process still needs to meet clinical standards. Choosing between the two often comes down to your setup, the treatment type, and what works best for your team and patients.

Here’s how they compare:

In-person GFE: The provider can check vital signs, assess skin and treatment areas, and ask questions face-to-face.

Virtual GFE: Done via video call, the provider visually assesses the patient, asks targeted health questions, and looks for any red flags that could impact treatment.

In both cases, you’ll want to record the assessment, treatment decision, and provider details clearly to show you’ve met medical and legal requirements. This protects your business and ensures patient care is fully traceable.

What are the benefits of a good faith exam?

Good Faith Exams (GFEs) offer a wide range of benefits, and they don’t just apply to patients. They can also be advantageous to providers and med spa owners.  At their core, a GFE helps to create a safer, more transparent, and compliant environment for these medical aesthetic treatments to take place.

Here’s how they do that:

1. Enhanced patient safety
The number one priority in any medical spa should be patient safety. A GFE helps providers identify potential contraindications, underlying medical conditions, or medications that could interfere with treatment. By thoroughly assessing a patient’s medical history and current health status, providers can recommend effective and safe treatments to reduce the risk of complications or adverse reactions.

2. Improved patient trust and satisfaction
When patients know that a licensed medical professional is reviewing their case before treatment, it helps to build their trust. The GFE gives patients a chance to ask questions, receive honest feedback, and feel confident about their decision. This transparency often leads to a higher level of satisfaction and can build stronger provider-patient relationships.

3. Better treatment planning
A GFE lays the groundwork to create a customized treatment plan specifically for the individual’s unique needs and health profile.
It helps to ensure the treatment is appropriate for the patient’s goals and physical condition. This, in turn, leads to better outcomes and more consistent results.

4. Regulatory compliance
In many states, including Texas and Pennsylvania, a Good Faith Exam is legally required before you can perform certain procedures.
Having a clear GFE process in place and following it consistently helps ensure your med spa stays compliant with state medical board regulations and accepted standards of care.

5. Potential prevention of board investigations
By completing and documenting a proper GFE, providers can demonstrate that they have taken the necessary steps to evaluate and protect their patients.

All of these steps reduce the risk of complaints or investigations from state medical boards, and most importantly, they help keep your patients safe.

Good Faith Exam (GFE) requirements vary across the U.S., so it’s important to understand the laws in your state. Here are some examples of how the law can vary based on the state you're operating in:

• Texas: GFEs are mandatory before any medical treatment. They can be done in person or via telehealth and must be performed by a licensed professional or supervised by a physician.
• Pennsylvania: Similar to Texas, GFEs must be conducted under physician oversight before medical treatments are performed.
• Illinois: Requires in-person GFEs for certain treatments, particularly injectables and laser services.
• Florida: A physician, nurse practitioner, or physician assistant can do the GFE.
• New York: GFEs are required as part of safe, compliant care. However, the physicians need to own their medical practice.

No matter the state, proper documentation is a non-negotiable for compliance and patient safety.

When is a good faith exam required?

Establishing initial contact with a new patient? Proposing a new treatment plan or significant changes? Noticing a significant time lapse since the last treatment or change in health status? These are scenarios where a GFE becomes non-negotiable. To ensure continuous safety, follow-up GFEs are recommended at least annually for every patient.

Ensuring patient safety in your med spa involves adhering to regulatory requirements that establish a framework for safeguarding patient well-being.  Following these guidelines not only creates a secure treatment setting but also ensures med spas comply with healthcare standards designed to uphold ethical and safe practices.

What treatments require a good faith exam?

Any aesthetic procedure in Texas and Pennsylvania (as well as many other states in the USA) that’s considered medical usually requires a GFE. That includes:

• Injectables like Botox or dermal fillers
• IV hydration or vitamin therapy
• Hormone therapy
• Laser treatments and other medical aesthetics services

Essentially, if your prospective treatment involves a needle, prescription drug, or regulated device, you’ll likely need a GFE first.

How Fresh Clinics supports the GFE process

Fresh Clinics was started by industry professionals, so we understand what it’s really like to run a med spa. Finding the right physicians while staying compliant, efficient, and focused on patient care isn’t always easy.

That’s why we make the GFE process easier, with:

• Access to experienced medical directors
• Support from trained providers and clinicians
• Seamless virtual or in-person GFEs
• Documentation that keeps you audit-ready
• A smoother, safer experience for both patients and providers

Whether you're starting out or looking to grow an established med spa, we’ll help you stay compliant so you can focus on what matters most: your patients.

In summary

Overall, a Good Faith Exam should be seen as the foundation on which safe, ethical, and legally sound care is provided in the world of medical aesthetics. As med spas grow in popularity, GFEs ensure that patients receive proper medical evaluations. At the same time, it also helps providers stay within the boundaries of legislated practice. For any provider who wants to deliver high-quality care to their patients, GFEs are a vital part of the process.

Ready to simplify your GFE process?
Fresh Clinics offers the tools and clinical support you need to stay compliant, deliver better care, and grow your med spa with confidence.
Reach out to our team today to learn more about how our spa compliance solutions can help you. Contact Fresh today!

FAQs

Is a Good Faith Exam the same as a regular consultation?
No. While both may involve discussing your goals, a Good Faith Exam is a formal medical evaluation performed by a licensed healthcare provider. It involves reviewing your medical history, assessing your current health, and determining your eligibility for specific aesthetic treatments.
Do I need a GFE before every medical procedure at a med spa?
Yes, in most cases. GFEs are required before treatments like injectables, hormone therapy, and IV therapy to ensure safe and effective care based on your current health status.
Can a GFE be done virtually?
In many states in the USA, including Texas and Pennsylvania, where we operate, virtual good faith exams are allowed. However, these remote assessments still require a review of patient evaluations and a visual medical assessment conducted by a licensed medical provider.
What’s reviewed during the GFE?
The provider looks at your medical conditions, current medications, allergies, and any potential risks related to your requested treatment. They will then offer treatment recommendations tailored to your health and goals.
Why is it important for providers to follow the GFE process?
Following the GFE process helps to ensure patient safety and avoid legal issues. In addition, it supports ethical care standards that are being met, especially in exams in medical spas where oversight is crucial.

The Australian Health Practitioner Regulation Agency (Ahpra) has released updated guidelines for registered health practitioners who perform non-surgical cosmetic procedures. These changes will come into effect in September 2025, and cover two key areas:

1. Advertising guidelines for higher-risk non-surgical cosmetic procedures
2. Clinical guidelines for performing non-surgical cosmetic procedures

The updated advertising standards clarify previously grey areas and bring existing obligations into sharper focus, helping practitioners to better meet their responsibilities. The good news for Fresh Clinics Members is that while the procedural guidelines have been updated, Fresh has long operated in line with these standards.

Whether you're a registered nurse, doctor, or other health professional offering cosmetic services, these updates apply to you. It’s essential to stay informed and ensure your practice remains compliant.

The below is a summary of the Clinical guidelines for performing non-surgical cosmetic procedures:

Purpose and scope

• These guidelines apply to non-medical registered health practitioners (e.g., nurses, dentists, pharmacists) who perform non-surgical cosmetic procedures.
• They aim to clarify professional responsibilities, ensure safe, ethical practice, and support informed patient decision-making.
• They do not expand the scope of practice or authorise practitioners to perform procedures outside their regulatory limits.
  

What counts as a non-surgical medical procedure 

• Procedures that aim to change appearance (e.g., Botulinum toxin, dermal fillers, PRP, thread lifts, fat-dissolving injections, CO₂ laser resurfacing, and energy-based device treatments).
• They must not be confused with clinically justified treatments (e.g., removing skin cancers, treating severe acne).
  

Requirements and responsibilities

1. Scope of practice
Practitioners must only perform procedures they are qualified, trained, and competent to do and must comply with state/territory regulations, particularly for Schedule 4 medicines.  Fresh Clinics offers state-of-the-art training to practitioners that supports a widening scope of practice for our Members.

2. Patient assessment
A holistic, culturally safe assessment is required, especially for psychological conditions (e.g., body dysmorphic disorder). If there are concerns, referral to an independent health practitioner like a GP or psychologist is required. Fresh Clinics' assessment process is ethical and thorough. Our hybrid model enables both in-person care and doctor support, plus a detailed assessment checklist to vet for BDD.

3. Under 18s
Fresh Clinics does not allow or support treatment for under-18s with S4 medications. According to Ahpra, procedures on minors are restricted and must have:

• A cooling-off period (7 days)
• Parental input & consent
• No upfront payment

4. Prescribing
Prescribing S4 medications must involve real-time (in-person or video) consultations — asynchronous prescribing is banned. No batch prescriptions are allowed; each person must have an individual prescription. Fresh Clinics handles and documents this safely within the Fresh App.

5. Informed Consent
Must include verbal and written plain-language consent from the patient. The practitioner must disclose:

• Procedure details, risks, alternatives
• Recovery expectations
• Provider credentials and fees
• Medicare does not cover cosmetic treatments

Separate, documented consent is required for any image use. These images must not be stored on personal devices. Patients can withdraw consent at any time, and practitioners must stop using images where possible. Fresh Clinics captures consent both physically in the Fresh App and verbally via telehealth.

6. Clinical care and aftercare
Practitioners must ensure continuity of care and have protocols for emergencies and complications, and must provide clear post-procedure instructions and contact details to patients. Fresh Clinics has strict and compliant aftercare, processes, and documentation. Learn more here. 

7.  Education and experience
Practitioners must complete:

• Relevant theoretical and hands-on training
• Ongoing CPD (Continuing Professional Development) in cosmetic procedures
• Must be competent in managing risks and complications, not just performing the procedure.

Fresh Clinics' training and education are CPD certified. We also regularly host free resources and webinars that offer CPD points to Members. Our complication management and training for complication management is the gold standard and the best in Australia.

8. Advertising and finance 
Practitioners must follow:

• Ahpra advertising guidelines
• TGA codes
  

Practitioners must not:

• Glamourise procedures
• Offer financial incentives, discounts, or influencer deals
• Promote finance schemes (e.g., loans, afterpay)

9. Facilities and infection control
Facilities must match the procedure risk level and be compliant with all legal and safety standards. Procedures involving injections or piercing skin should ideally occur in an accredited facility. Fresh Clinics supports Members through strict compliance checks and protocols. 

10. Complaints handling
Patients must be informed of how to lodge complaints (e.g., Ahpra, health complaints bodies), and NDAs must not prevent complaints to regulators.

Specific Guidance for Nurses and Midwives (Appendix A)

• Midwives cannot perform cosmetic procedures.
• RNs: Must have 1 year of full-time postgraduate experience in General or specialist nursing practice (excluding non-surgical cosmetic injectables) before entering cosmetics; endorsement as NP not possible solely in cosmetics. Fresh Clinics has always had this requirement in place for our Members. 
• ENs:
  
  • Must work under RN supervision
  • Need experience in a related area (e.g., dermatology)
  • Cannot inject in high-risk facial areas unless under strict conditions

The below is a summary of the Advertising guidelines for higher-risk non-surgical cosmetic procedures:

Purpose and scope

• Developed by National Boards to ensure safe, honest, and responsible advertising of higher-risk non-surgical cosmetic procedures.
• Applies to registered health practitioners, non-registered individuals, and businesses that advertise these procedures.
• Focuses on protecting vulnerable consumers, given the serious and potentially irreversible risks involved in these procedures.
  

What counts as a higher-risk non-surgical medical procedure 
Botulinum toxin, dermal fillers, PRP, thread lifts, fat-dissolving injections, and Sclerotherapy.

Advertising requirements

1. Practitioner responsibility
Advertising must not exploit insecurities or target psychologically vulnerable individuals (e.g., with body dysmorphic disorder). Practitioners must prioritise the duty of care over financial gain. Cost info must be clear and comply with TGA regulations.

2. Claims & titles
Advertising must not exaggerate qualifications or imply specialist status without appropriate registration, and registration details must be clearly displayed.

3. Testimonials
Strictly prohibited. This includes:

• Patient stories or outcomes
• Likes, reposts, or links to patient reviews
• Social media ‘stories’ with testimonials
• Practitioners must not interact with third-party testimonials

4. Influencers & ambassadors
Advertisers are responsible for content shared by influencers on their behalf, and influencers must not use testimonials or misleading claims.

5. Use of Images
No misleading, retouched, or filtered images. Before and after images must be:

• Genuine, unedited, and comparable in conditions
• Accompanied by disclaimers on the variability of results
• Not used on individuals under 18
• No sexualised, entertainment-focused, or lifestyle imagery

6. Risk & recovery
Risks must be clearly stated, not downplayed (e.g., avoid terms like “simple” or “painless”). Recovery timelines and possible lifestyle impacts must be disclosed. Procedures must not be trivialised (e.g., competitions or giveaways).

7. Body image & mental health
Advertising must not:

• Imply normal ageing or variations need fixing
• Promise improved mental health or self-esteem
• Promote unrealistic or idealised beauty standards

8. Expectations of outcomes
Claims must be objective and evidence-based. Practitioners must be clear about:

• When results will appear
• How long they will last
• Need for ongoing treatments

9. Protecting at-risk audiences
No advertising to under-18s or on youth-oriented platforms. Avoid targeting vulnerable groups through metadata, hashtags, or excessive posting.

Actionable steps you can take now:

1. Set aside dedicated time
This is not a document to skim. Block out time in your calendar to read the full guidelines without interruption. You may need to revisit it multiple times.

2. Go analogue
Print the documents or have a notebook ready. Highlight important sections and jot down notes or questions as you go. This helps you retain the content and identify what specifically applies to your clinic.

3. Audit your own platforms
Set time aside to review your social media, website, and marketing materials. We recommend doing this yourself. While some AI-driven tools or services are available, we’ve found they often miss important context or aren’t fully aligned with Australian regulations and complexities between TGA and Ahpra.

4. Budget for updates
You may need a refreshed brand photoshoot (avoiding needles or identifiable patient info), new graphic assets, or website changes. Factor this into your business plan now, and make sure any agencies or freelancers you work with are across the new rules.

5. Adjust your IG settings
Update your Instagram business profile to restrict your content to 18+ only. This is a simple step toward compliance that many overlook.

6. Focus on the law, not the norm
Don’t rely on what others in the industry are doing. Knowing and applying the actual regulations, not what appears to be common practice, is key to protecting your reputation and remaining compliant.

8. When in doubt, seek legal advice
If you’re engaging external marketers or influencers, or if you have questions around compliance for your unique business model, a qualified legal advisor can help clarify your responsibilities.

About Ahpra
The Australian Health Practitioner Regulation Agency (Ahpra) is the national body responsible for regulating health professionals across Australia. Ahpra sets the standards that ensure public safety and maintain professional conduct across 16 health professions. 

Not a Fresh Clinics Member? Chat with our team today.

When Sharna faced one of the most challenging moments in her career, Fresh Clinics helped her navigate it smoothly.

Introducing Sharna

Sharna is a registered nurse with over 30 years of experience across various fields. In 2021, she founded Canvas Cosmetic Clinic in South Perth. 
One of the first things Sharna did when opening her practice was to join Fresh Clinics. Over the years, she’s valued our support, medical oversight, and professional guidance – but never more so than in August 2024.

Recognising the emergency

It began as an ordinary day. Sharna was performing a cheek filler, and everything seemed normal.

“We were doing cheek filler, and so we had an entry point at the zygoma. We had just started when I saw a big white flash. I knew straight away it was a vascular occlusion,” Sharna recalls. “I waited a few seconds, checked the capillary refill, and confirmed it. ‘Yep, we actually do have one.’”

Understanding the gravity of the situation, Sharna didn’t panic. Instead, she stopped everything, took a breath, and reassured her patient.

“The most important thing in that moment is to stay calm,” she explains. “There’s nothing you can do to change it – only move forward positively and ensure the patient remains calm.”

Immediate response with Fresh Clinics’ guidance

With no time to waste, Sharna immediately reached out to Fresh Clinics’ medical team for expert support. “We got on to Fresh, and they guided us through reconstituting the Hyalase and starting the dissolving process.”

Over the next 4-5 days, Sharna used 17 vials of Hyalase to dissolve the filler, far more than many practitioners might anticipate needing. No adverse event is ever the same as the last, so it’s important to remember that the same rule applies to the treatment and resolution; the response and requirements are always on a case by case basis.

“A lot of people assume that if you have a vascular occlusion, you inject Hyalase, it dissolves, and that’s the end of the story. But that’s not the case,” she explains. “You have no control over where the filler embolises. Little chunks break off into other vessels, so you have to keep treating until it’s all gone.”

The importance of preparation and support

Reflecting on the experience, Sharna notes the importance of having the right support and stock on hand, especially for practitioners working in remote areas.

"Imagine how stressful that would be if you were on your own, felt unsupported, and didn’t have the product you needed to dissolve the filler. That’s why stock management is so important,” she says.

Despite the high-pressure situation, Sharna never doubted her ability to handle it. “I felt quite calm in the moment. I never once thought, ‘Oh my God, what am I going to do?’ I knew I had used the right technique and mitigated risk as much as possible, but this just proves that complications can happen to anyone.”

Why Fresh Clinics is essential for every cosmetic practitioner

Sharna believes every cosmetic nurse should have a trusted medical oversight partner like Fresh Clinics.

“You don’t know what you don’t know. You can be as confident as you like, but when something happens, you realise there are things you hadn’t even considered,” she says. “Having Fresh means you’re supported from every angle, whether it’s business, medical guidance or dealing with adverse events.”

For Sharna, the experience reinforced the need to avoid isolation. “We’ve all been in that position where we didn’t know what to do – whether it was 20 years ago, 5 years ago, or last year. Being part of a cohort that truly supports and helps you is invaluable.”

Fresh Clinics made all the difference in Sharna’s case, providing immediate access to expert medical advice, clear protocols for adverse event management, and ongoing reassurance.

If you want to practice with confidence, knowing you have the right support in place should an adverse event occur, it’s time to partner with Fresh.

Not a Fresh Clinics Member? Chat with our team today.